Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE)....Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .展开更多
The index of payback period of dynamic investment is an improvement on index of payback period of static investment, which is the problem that the rules to evaluate the project are feasible or not. This paper proves t...The index of payback period of dynamic investment is an improvement on index of payback period of static investment, which is the problem that the rules to evaluate the project are feasible or not. This paper proves that rules shall be apt when using payback period of dynamic investment to evaluate the project feasibility under the condition of keeping the dynamic evaluation index to evaluate the same scheme and the consistent feasibility.展开更多
目的了解1990-2019年中国慢性阻塞性肺疾病发病、患病、死亡情况及疾病负担情况,预测2020-2030年中国慢性阻塞性肺疾病发病情况,为评估和制定慢性阻塞性肺疾病相关预防治疗政策和措施提供数据支持。方法利用2019年全球疾病负担研究数据...目的了解1990-2019年中国慢性阻塞性肺疾病发病、患病、死亡情况及疾病负担情况,预测2020-2030年中国慢性阻塞性肺疾病发病情况,为评估和制定慢性阻塞性肺疾病相关预防治疗政策和措施提供数据支持。方法利用2019年全球疾病负担研究数据库(Global burden of disease study,GBD),研究分析1990-2019年中国慢性阻塞性肺疾病的发病、患病、死亡、伤残调整寿命年(DALY)、早死寿命损失年(YLL)、伤残寿命损失年(YLD)等情况。采用贝叶斯-时期-队列分析(BAPC)方法,预测2020-2030年中国慢性阻塞性肺疾病发病率。结果相对于1990年,2019年中国慢性阻塞性肺疾病粗患病率增长35.44%,标化患病率减少27.16%,粗发病率增长38.31%,标化发病率减少28.52%,粗死亡率减少30.59%,标化死亡率减少70.08%。1990-2019年中国人群因慢性阻塞性肺疾病导致的YLL率由3281.48/10万降至862.37/10万,YLD率由330.33/10万降至240.40/10万,DALY率由3611.81/10万降至1102.77/10万。2019年男性慢性阻塞性肺疾病DALY率相比于1990年降低66.56%,女性DALY率相比于1990年降低71.87%。2020-2030年中国慢性阻塞性肺疾病标化发病率预计呈下降趋势,2030年男性标化发病率预计比2020年降低31.97%,女性标化发病率预计比2020年降低27.69%。结论1990-2019年,慢性阻塞性肺疾病对中国人口造成的疾病负担总体呈下降趋势。但从患病情况和死亡情况来看,发病及死亡人数较多,中国慢性阻塞性肺疾病的疾病负担仍处于较高水平。同时预测结果显示,未来10年中国慢性阻塞性肺疾病标化发病率在下降,但是仍处于较高水平,因此进行早筛查、早预防和早治疗,及广泛开展慢阻肺相关知识普及,对于做好COPD疾病管理具有重要意义。展开更多
目的构建过渡期退役士兵生命意义感团体心理训练方案,并评价其训练效果。方法应用德尔菲法,构建过渡期退役士兵团体心理训练方案。整群抽取山东某市参加退役培训的64名过渡期退役士兵为研究对象,分为训练组(n=31)和对照组(n=33)。训练...目的构建过渡期退役士兵生命意义感团体心理训练方案,并评价其训练效果。方法应用德尔菲法,构建过渡期退役士兵团体心理训练方案。整群抽取山东某市参加退役培训的64名过渡期退役士兵为研究对象,分为训练组(n=31)和对照组(n=33)。训练组进行8次(2次/周、1.5~2h/次)的团体心理训练,对照组进行常规退役培训。运用生命意义感量表(purpose in life test,PIL)、知觉压力量表(Chinese perceived stress scale,CPSS)、社会适应能力量表(social adaptability scale,SAS),在训练前(T1)、训练结束(T2)、训练后1个月(T3)对成员进行评估。结果①两轮专家咨询结果显示,专家权威系数(Cr)为0.89,肯德尔系数(ω)分别为0.134、0.204(P<0.001),变异系数为0.05~0.14。生命意义感团体心理训练方案包括5个一级指标,8个二级指标,30个三级指标。②训练后组别和时间的交互作用结果显示,训练组在生命意义感总分及各维度得分、社会适应能力总分(P<0.001)均显著高于对照组;知觉压力总分显著低于对照组(P<0.001)。③训练后组别主效应结果显示,训练组在生命意义感总分及各维度得分、社会适应能力总分(P<0.01)均显著高于对照组;知觉压力总分显著低于对照组(P<0.001)。④训练后时间主效应结果显示,训练组在生命意义感总分及各维度得分(P<0.05)、社会适应能力总分(P<0.001)均显著高于对照组;知觉压力总分显著低于对照组(P<0.001)。结论生命意义感团体心理训练能有效提升过渡期退役士兵的生命意义感水平,缓解知觉压力,增强过渡期退役士兵的社会适应能力。展开更多
文摘Aim: This study evaluates the impact of Enhanced Recovery After Surgery (ERAS) nursing on postoperative complications and quality of life in patients undergoing robot-assisted minimally invasive esophagectomy (RAMIE). Methods: A total of 150 patients who underwent RAMIE from January 2020 to January 2022 at our hospital were randomly assigned to either the observation group or the control group, with 75 patients in each. The control group received standard perioperative management and nursing care, while the observation group was treated with ERAS nursing strategies. Interventions continued until discharge, and outcomes such as postoperative complications, quality of life, and nutritional status were compared between the groups. Results: The observation group exhibited a significantly lower incidence of postoperative adverse reactions compared to the control group (P ionally, all dimension scores of the Short-Form 36 Health Survey (SF-36), including the total score, were higher in the observation group (P < 0.05). Furthermore, the Nutritional Risk Screening (NRS) scores for impaired nutritional status and disease severity, along with the total NRS score, were significantly lower in the observation group compared to the control group (P Conclusion: Implementing ERAS nursing in the perioperative care of patients undergoing RAMIE is associated with reduced postoperative complications and enhanced postoperative quality of life and nutritional status. .
基金This paper is supported by the National Natural Science Foundation of China （No.59579029）
文摘The index of payback period of dynamic investment is an improvement on index of payback period of static investment, which is the problem that the rules to evaluate the project are feasible or not. This paper proves that rules shall be apt when using payback period of dynamic investment to evaluate the project feasibility under the condition of keeping the dynamic evaluation index to evaluate the same scheme and the consistent feasibility.
文摘目的了解1990-2019年中国慢性阻塞性肺疾病发病、患病、死亡情况及疾病负担情况,预测2020-2030年中国慢性阻塞性肺疾病发病情况,为评估和制定慢性阻塞性肺疾病相关预防治疗政策和措施提供数据支持。方法利用2019年全球疾病负担研究数据库(Global burden of disease study,GBD),研究分析1990-2019年中国慢性阻塞性肺疾病的发病、患病、死亡、伤残调整寿命年(DALY)、早死寿命损失年(YLL)、伤残寿命损失年(YLD)等情况。采用贝叶斯-时期-队列分析(BAPC)方法,预测2020-2030年中国慢性阻塞性肺疾病发病率。结果相对于1990年,2019年中国慢性阻塞性肺疾病粗患病率增长35.44%,标化患病率减少27.16%,粗发病率增长38.31%,标化发病率减少28.52%,粗死亡率减少30.59%,标化死亡率减少70.08%。1990-2019年中国人群因慢性阻塞性肺疾病导致的YLL率由3281.48/10万降至862.37/10万,YLD率由330.33/10万降至240.40/10万,DALY率由3611.81/10万降至1102.77/10万。2019年男性慢性阻塞性肺疾病DALY率相比于1990年降低66.56%,女性DALY率相比于1990年降低71.87%。2020-2030年中国慢性阻塞性肺疾病标化发病率预计呈下降趋势,2030年男性标化发病率预计比2020年降低31.97%,女性标化发病率预计比2020年降低27.69%。结论1990-2019年,慢性阻塞性肺疾病对中国人口造成的疾病负担总体呈下降趋势。但从患病情况和死亡情况来看,发病及死亡人数较多,中国慢性阻塞性肺疾病的疾病负担仍处于较高水平。同时预测结果显示,未来10年中国慢性阻塞性肺疾病标化发病率在下降,但是仍处于较高水平,因此进行早筛查、早预防和早治疗,及广泛开展慢阻肺相关知识普及,对于做好COPD疾病管理具有重要意义。
文摘目的构建过渡期退役士兵生命意义感团体心理训练方案,并评价其训练效果。方法应用德尔菲法,构建过渡期退役士兵团体心理训练方案。整群抽取山东某市参加退役培训的64名过渡期退役士兵为研究对象,分为训练组(n=31)和对照组(n=33)。训练组进行8次(2次/周、1.5~2h/次)的团体心理训练,对照组进行常规退役培训。运用生命意义感量表(purpose in life test,PIL)、知觉压力量表(Chinese perceived stress scale,CPSS)、社会适应能力量表(social adaptability scale,SAS),在训练前(T1)、训练结束(T2)、训练后1个月(T3)对成员进行评估。结果①两轮专家咨询结果显示,专家权威系数(Cr)为0.89,肯德尔系数(ω)分别为0.134、0.204(P<0.001),变异系数为0.05~0.14。生命意义感团体心理训练方案包括5个一级指标,8个二级指标,30个三级指标。②训练后组别和时间的交互作用结果显示,训练组在生命意义感总分及各维度得分、社会适应能力总分(P<0.001)均显著高于对照组;知觉压力总分显著低于对照组(P<0.001)。③训练后组别主效应结果显示,训练组在生命意义感总分及各维度得分、社会适应能力总分(P<0.01)均显著高于对照组;知觉压力总分显著低于对照组(P<0.001)。④训练后时间主效应结果显示,训练组在生命意义感总分及各维度得分(P<0.05)、社会适应能力总分(P<0.001)均显著高于对照组;知觉压力总分显著低于对照组(P<0.001)。结论生命意义感团体心理训练能有效提升过渡期退役士兵的生命意义感水平,缓解知觉压力,增强过渡期退役士兵的社会适应能力。
